ICU Rounds

Therapeutic Hypothermia After Cardiac Arrest

Pancreatitis - Surgical Indications and Procedures

Severe acute necrotizing pancreatitis requires a cautious, evidence-based approach to infection management and surgical timing. Routine prophylactic antibiotic use is currently discouraged, as it fails to improve survival and contributes to the development of resistant organisms and fungal infections. Diagnosis of panc...

Severe Acute Pancreatitis: Part 2 ICU Considerations

Severe acute necrotizing pancreatitis requires aggressive management in the intensive care unit, prioritizing rapid fluid resuscitation to address massive third-space sequestration. Because endothelial leak significantly reduces the intravascular retention of isotonic fluids, clinicians must monitor respiratory, cardio...

Pancreatitis - Part 1

Acute pancreatitis ranges from mild, self-limiting cases to severe, necrotizing forms associated with systemic inflammatory response syndrome (SIRS) and high mortality rates. Diagnosis relies on clinical presentation, laboratory markers like amylase and lipase, and imaging, though early CT scans often lack sensitivity ...

That peripheral IV can kill you: Suppurative Thrombophlebitis

Acute Colonic Pseudoobstruction (Ogilvie's Syndrome)

Dr. Jeffrey Guy presents a podcast episode of ICU Rounds focusing on acute colonic pseudo-obstruction, also known as Ogilvie's syndrome. He begins with a patient case and then delves into definitions, differentiating it from mechanical obstruction and ileus, and explains the Law of Laplace in relation to colonic tensio...

Hemoglobin Based Oxygen Carriers (a.k.a. Artificial Blood)

Catheter-Related Bloodstream Infection: Diagnosis

Ventilator Associated Pneumonia

Complications of Dwelling Central Lines

Central Line Insertion Complications

The podcast addresses complications associated with central venous catheterization, particularly concerning the training of new interns. Risk factors such as inexperience, number of needle passes, patient body habitus, dehydration, and prior catheterizations are discussed. While coagulopathies don't necessarily increas...

Pulmonary Physiology and General Anesthesia

Caustic Ingestions

IV Fluids (Part 1)

Arterial Blood Gases

Pulse Oximetery

Discussion on Fluids: The last Cotton lecture

Refeeding Syndrome

Hypoxia: physiological causes

Hypoxia management in the intensive care unit requires addressing underlying physiological causes rather than reflexively increasing the fraction of inspired oxygen (FiO2). While increasing oxygen concentration provides a temporary fix, it fails to treat the root pathology in four out of five primary causes of hypoxia:...

Hypernatremia